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MATA GUJRI GIRLSí PUBLIC SCHOOL

Photo

New Rajbada, Mundla Nayata, By Pass Road, Indore-452001(M.P.) 

Ph.: 0731-2862570, 6540943, Fax: 4048700 

C.B.S.E. Affiliation No. 1030191 

REGISTRATION FORM
The Principal,

Mata Gujri Girlsí Public School, 

Madam, 

I request you to register the name of my daughter/ward in class ______________for the Session _______ 

The particulars regarding her are as below: 


1.  Name (in Block Letter):  ______________________________________________________________


2.  Date of Birth : ____ /____ /_______ Word: ______________________________________________

    (Attach the Photostat copy of the original birth certificate of Municipal Corporation / Govt. Hospital) 


3.  Place of Birth: _____________________________Nationality: ________________________________


4.  Religion: _________________________________ Mother Tongue: ____________________________


5.  Postal Address (R): __________________________________________________________________


6.  Phone No.: (R): ____________________________ Mobile No.: _______________________________


7.  Fatherís Name: _____________________________________________________________________


    Qualification: _______________________________ Occupation: ______________________________


    Office Address: ______________________________________________________________________


    Phone No.:  Office __________________________ Mobile No.: ________________________________


8.  Motherís Name: _____________________________________________________________________


    Qualification: _____________________________ Working / Non W.:  ___________________________


    Office Address: ______________________________________________________________________


    Phone No.: Office __________________________ Mobile No.: _________________________________


9.  Monthly Income-Fatherís: _____________________ Motherís: ________________________________


10. School Last Attended:  _______________________________________________________________ 


I   undertake   that   in   case   the   admission   is   granted   to   my  daughters/ward,   I   will   abide   the   rules   of   the   institution laid down from time to time. 


Date: ___________                                                                          (Signature of Parent / Guardian)